Repositioning a passive patient in bed: Choosing an ergonomically advantageous assistive device
Repositioning of passive patients in bed creates health risks to the nursing personnel. Therefore, appropriate assistive devices should be used. Our aim was to find the optimal assistive device for reducing musculoskeletal load while moving a passive patient in bed. Torso kinematic inputs evaluated...
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Veröffentlicht in: | Applied ergonomics 2017-04, Vol.60, p.22-29 |
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creator | Weiner, Chava Kalichman, Leonid Ribak, Joseph Alperovitch-Najenson, Deborah |
description | Repositioning of passive patients in bed creates health risks to the nursing personnel. Therefore, appropriate assistive devices should be used. Our aim was to find the optimal assistive device for reducing musculoskeletal load while moving a passive patient in bed. Torso kinematic inputs evaluated by the Lumbar Motion Monitor (LMM) and perceived load (Borg scale) were measured in female nurses performing 27 patient transfers [represented by a mannequin weighing 55 (12 nurses), 65 (24 nurses) and 75 kg (12 nurses) in bed] using a regular sheet, a sliding sheet and a carrier. The lowest rates of perceived exertion were found when the sliding sheet and/or carrier were used, for all tasks (p ≤ 0.009). According to the predicted risk for Low Back Disorder (LBD) based on the LMM inputs, negligible differences between assistive devices were found. In a 75 kg mannequin, the participants were able to perform all tasks only by using a sliding sheet. Utilizing sliding sheets is an advantageous technique in comparison to traditional cotton sheets and even carriers.
•A sliding sheet is preferable over a regular cotton sheet and a carrier.•In mannequins weighing 75 kg, only sliding sheet made the repositioning possible.•Methods used by Nurses have a significant effect on the musculoskeletal load. |
doi_str_mv | 10.1016/j.apergo.2016.10.007 |
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•A sliding sheet is preferable over a regular cotton sheet and a carrier.•In mannequins weighing 75 kg, only sliding sheet made the repositioning possible.•Methods used by Nurses have a significant effect on the musculoskeletal load.</description><subject>Bedding and Linens</subject><subject>Biomechanical Phenomena</subject><subject>Decision Making</subject><subject>Ergonomics</subject><subject>Female</subject><subject>Humans</subject><subject>Low back disorder risk model</subject><subject>Lumbosacral Region - physiology</subject><subject>Movement</subject><subject>Moving and Lifting Patients - instrumentation</subject><subject>Musculoskeletal System - injuries</subject><subject>Nursing</subject><subject>Nursing Staff, Hospital</subject><subject>Occupational Health</subject><subject>Occupational Injuries - prevention & control</subject><subject>Physical Exertion - physiology</subject><subject>Repositioning</subject><subject>Sliding sheets</subject><subject>Task Performance and Analysis</subject><subject>Weight-Bearing</subject><subject>Work related musculoskeletal disorders</subject><issn>0003-6870</issn><issn>1872-9126</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE9LxDAQxYMouq5-A5EevXRN0jZNPAiy-A8WBNFzmE2na5a2qU23sN_elK4ePQ0z_N68mUfIFaMLRpm43S6gxW7jFjx0YbSgND8iMyZzHivGxTGZUUqTWMicnpFz77ehlSnLTskZl0wIKemM6Hdsnbe9dY1tNhFELXhvBwy1t9j0kW2iNRZ30fLLBW5Emmi0bVxtDVTVPoJigKaHDbqdj0a178cFBQ7W4AU5KaHyeHmoc_L59PixfIlXb8-vy4dVbLKM9bFAsS5VkmcpMMN5WQiuDIfwR64SWmaZECAzxaAsi1LlJoE0V9JAnqQcBGPJnNxMe9vOfe_Q97q23mBVQTPepZkUmeQsUSqg6YSaznnfYanbztbQ7TWjeoxWb_UUrR6jHach2iC7Pjjs1jUWf6LfLANwPwEY_hwsdtqbEKHBwnZoel04-7_DDwFwjPI</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Weiner, Chava</creator><creator>Kalichman, Leonid</creator><creator>Ribak, Joseph</creator><creator>Alperovitch-Najenson, Deborah</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1619-6899</orcidid></search><sort><creationdate>20170401</creationdate><title>Repositioning a passive patient in bed: Choosing an ergonomically advantageous assistive device</title><author>Weiner, Chava ; Kalichman, Leonid ; Ribak, Joseph ; Alperovitch-Najenson, Deborah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c551t-6e6bf93754a1c22fd629c2a9127930f5566a8591affdf97c3a4798ca7342a6113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Bedding and Linens</topic><topic>Biomechanical Phenomena</topic><topic>Decision Making</topic><topic>Ergonomics</topic><topic>Female</topic><topic>Humans</topic><topic>Low back disorder risk model</topic><topic>Lumbosacral Region - physiology</topic><topic>Movement</topic><topic>Moving and Lifting Patients - instrumentation</topic><topic>Musculoskeletal System - injuries</topic><topic>Nursing</topic><topic>Nursing Staff, Hospital</topic><topic>Occupational Health</topic><topic>Occupational Injuries - prevention & control</topic><topic>Physical Exertion - physiology</topic><topic>Repositioning</topic><topic>Sliding sheets</topic><topic>Task Performance and Analysis</topic><topic>Weight-Bearing</topic><topic>Work related musculoskeletal disorders</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weiner, Chava</creatorcontrib><creatorcontrib>Kalichman, Leonid</creatorcontrib><creatorcontrib>Ribak, Joseph</creatorcontrib><creatorcontrib>Alperovitch-Najenson, Deborah</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Applied ergonomics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weiner, Chava</au><au>Kalichman, Leonid</au><au>Ribak, Joseph</au><au>Alperovitch-Najenson, Deborah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Repositioning a passive patient in bed: Choosing an ergonomically advantageous assistive device</atitle><jtitle>Applied ergonomics</jtitle><addtitle>Appl Ergon</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>60</volume><spage>22</spage><epage>29</epage><pages>22-29</pages><issn>0003-6870</issn><eissn>1872-9126</eissn><abstract>Repositioning of passive patients in bed creates health risks to the nursing personnel. Therefore, appropriate assistive devices should be used. Our aim was to find the optimal assistive device for reducing musculoskeletal load while moving a passive patient in bed. Torso kinematic inputs evaluated by the Lumbar Motion Monitor (LMM) and perceived load (Borg scale) were measured in female nurses performing 27 patient transfers [represented by a mannequin weighing 55 (12 nurses), 65 (24 nurses) and 75 kg (12 nurses) in bed] using a regular sheet, a sliding sheet and a carrier. The lowest rates of perceived exertion were found when the sliding sheet and/or carrier were used, for all tasks (p ≤ 0.009). According to the predicted risk for Low Back Disorder (LBD) based on the LMM inputs, negligible differences between assistive devices were found. In a 75 kg mannequin, the participants were able to perform all tasks only by using a sliding sheet. Utilizing sliding sheets is an advantageous technique in comparison to traditional cotton sheets and even carriers.
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subjects | Bedding and Linens Biomechanical Phenomena Decision Making Ergonomics Female Humans Low back disorder risk model Lumbosacral Region - physiology Movement Moving and Lifting Patients - instrumentation Musculoskeletal System - injuries Nursing Nursing Staff, Hospital Occupational Health Occupational Injuries - prevention & control Physical Exertion - physiology Repositioning Sliding sheets Task Performance and Analysis Weight-Bearing Work related musculoskeletal disorders |
title | Repositioning a passive patient in bed: Choosing an ergonomically advantageous assistive device |
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